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GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI 1548604366


NPI Information

NPI: 1548604366
Provider Name: GEORGETOWN PHYSICIAN ASSOCIATES, LLC

Doing Business As: TIDELANDS HEALTH WOUND HEALING CENTER

Classification: Emergency Medicine - 207PE0005X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

Address:
4367 RIVERWOOD DR UNIT 104
MURRELLS INLET, SC
ZIP 29576
Phone: (843) 652-8020
Get Directions

GEORGETOWN PHYSICIAN ASSOCIATES, LLC is an undersea and hyperbaric medicine emergency medicine in Murrells Inlet, SC. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. GEORGETOWN PHYSICIAN ASSOCIATES, LLC NPI is 1548604366. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tidelands Health Wound Healing Center.

The provider's business location address is:

4367 RIVERWOOD DR UNIT 104
MURRELLS INLET, SC
ZIP 29576-381
Phone: (843) 652-8020
Fax: (843) 652-8021

The provider's authorized official is Elizabeth Sutherland Ward .
The authorized official title is Evp & Cfo and has the following contact phone number (843) 527-7102.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 6/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP6251MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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